Evaluation of serum fructosamine concentration as an index of blood glucose control in cats with diabetes mellitus

J. J. Kaneko From the Departments of Clinical Pathology (Kaneko, Kawamoto), Physiological Sciences (Heusner), and Medicine (Feldman), University of California, Davis, CA 95616 and the Department of Biochemistry (Koizumi), Azabu University, Tokyo, Japan. Dr. Kawamoto is on leave from the Azabu University, Tokyo, Japan.

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M. Kawamoto From the Departments of Clinical Pathology (Kaneko, Kawamoto), Physiological Sciences (Heusner), and Medicine (Feldman), University of California, Davis, CA 95616 and the Department of Biochemistry (Koizumi), Azabu University, Tokyo, Japan. Dr. Kawamoto is on leave from the Azabu University, Tokyo, Japan.

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A. A. Heusner From the Departments of Clinical Pathology (Kaneko, Kawamoto), Physiological Sciences (Heusner), and Medicine (Feldman), University of California, Davis, CA 95616 and the Department of Biochemistry (Koizumi), Azabu University, Tokyo, Japan. Dr. Kawamoto is on leave from the Azabu University, Tokyo, Japan.

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E. C. Feldman From the Departments of Clinical Pathology (Kaneko, Kawamoto), Physiological Sciences (Heusner), and Medicine (Feldman), University of California, Davis, CA 95616 and the Department of Biochemistry (Koizumi), Azabu University, Tokyo, Japan. Dr. Kawamoto is on leave from the Azabu University, Tokyo, Japan.

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I. Koizumi From the Departments of Clinical Pathology (Kaneko, Kawamoto), Physiological Sciences (Heusner), and Medicine (Feldman), University of California, Davis, CA 95616 and the Department of Biochemistry (Koizumi), Azabu University, Tokyo, Japan. Dr. Kawamoto is on leave from the Azabu University, Tokyo, Japan.

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SUMMARY

Fructosamine, a glycated serum protein, was evaluated as an index of glycemic control in normal and diabetic cats. Fructosamine was determined manually by use of a modification of an automated method. The within-run precision was 2.4 to 3.2%, and the day-to-day precision was 2.7 to 3.1%. Fructosamine was found to be stable in serum samples stored for 1 week at 4 C and for 2 weeks at − 20 C. The reference range for serum fructosamine concentration in 31 clinically normal colony cats was 2.19 to 3.47 mmol/L (mean, 2.83 ± 0.32 mmol/L). In 27 samples from 16 cats with poorly controlled diabetes mellitus, the range for fructosamine concentration was 3.04 to 8.83 mmol/L (mean, 5.93 ± 1.35 mmol/L). Fructosamine concentration was directly and highly correlated to blood glucose concentration. Fructosamine concentration also remained high in consort with increased blood glucose concentration in cats with poorly controlled diabetes mellitus over extended periods. It is concluded that measurement of serum fructosamine concentration can be a valuable adjunct to blood glucose monitoring to evaluate glycemic control in diabetic cats. The question of whether fructosamine can replace glucose for monitoring control of diabetes mellitus requires further study.

SUMMARY

Fructosamine, a glycated serum protein, was evaluated as an index of glycemic control in normal and diabetic cats. Fructosamine was determined manually by use of a modification of an automated method. The within-run precision was 2.4 to 3.2%, and the day-to-day precision was 2.7 to 3.1%. Fructosamine was found to be stable in serum samples stored for 1 week at 4 C and for 2 weeks at − 20 C. The reference range for serum fructosamine concentration in 31 clinically normal colony cats was 2.19 to 3.47 mmol/L (mean, 2.83 ± 0.32 mmol/L). In 27 samples from 16 cats with poorly controlled diabetes mellitus, the range for fructosamine concentration was 3.04 to 8.83 mmol/L (mean, 5.93 ± 1.35 mmol/L). Fructosamine concentration was directly and highly correlated to blood glucose concentration. Fructosamine concentration also remained high in consort with increased blood glucose concentration in cats with poorly controlled diabetes mellitus over extended periods. It is concluded that measurement of serum fructosamine concentration can be a valuable adjunct to blood glucose monitoring to evaluate glycemic control in diabetic cats. The question of whether fructosamine can replace glucose for monitoring control of diabetes mellitus requires further study.

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